Subcapsular Hepatic Hematoma after the Endoscopic Retrograde Cholangiopancreatography: Clinical Case and Literature Review
https://doi.org/10.37174/2587-7593-2023-6-4-53-61
Abstract
Endoscopic retrograde cholangiopancreatography (ERCP) is a minimally invasive procedure to diagnose and treat the biliary tract and pancreas’ diseases. We would like to present a clinical case of a 66yearold patient, who underwent ERCP due to obstructive jaundice complicated by the subcapsular hematoma, 11.6×4.7×13.4 cm in size according to the computed tomography (CT), and by the leftsided hydrothorax after the hematoma was removed. The patient was successfully treated and discharged on the 15th day after drainage of the pleural cavity. Subcapsular hematoma is a potentially lethal and rare complication that can be treated with a conservative therapy, if diagnosed at an early stage.
Keywords
About the Authors
I. V. PogrebnyakovRussian Federation
115478
24 Kashirskoye Shosse
Moscow
S. M. Abdulkarimova
Russian Federation
115478
24 Kashirskoye Shosse
Moscow
A. A. Zagidullina
Russian Federation
115478
24 Kashirskoye Shosse
117997
1 Ostrovityanova str.
Moscow
A. Sh. Baimashev
Russian Federation
115478
24 Kashirskoye Shosse
Moscow
D. Yu. Frantsev
Russian Federation
115478
24 Kashirskoye Shosse
Moscow
E. R. Virshke
Russian Federation
115478
24 Kashirskoye Shosse
Moscow
B. I. Dolgushin
Russian Federation
115478
24 Kashirskoye Shosse
Moscow
References
1. Hart R, Classen M. Complications of diagnostic gastrointestinal endoscopy. Endoscopy. 1990 Sep;22(5):22933. DOI: 10.1055/s-2007-1010734.
2. Fei BY, Li CH. Subcapsular hepatic haematoma after endoscopic retrograde cholangiopancreatography: an unusual case. World J Gastroenterol. 2013 Mar 7;19(9):15024. DOI: 10.3748/wjg.v19.i9.1502.
3. Pancreatic Adenocarcinoma. NCCN Clinical Practice Guidelines in Oncology. 2015.
4. PetitLaurent F, Scalone O, Penigaud M, et al. Hématome souscapsulaire hépatique après cholangiopancréatographie rétrograde endoscopique: description d’un cas clinique et revue de littérature [Subcapsular hepatic hematoma after endoscopic retrograde cholangiopancreatography: case report and literature review]. Gastroenterol Clin Biol. 2007 AugSep;31(89 Pt 1):7502. (In French)]. URL: https://www.sci-hub.ru/10.1016/s0399-8320(07)91937-5?ysclid=lq6m8ym2n388998551.
5. Orellana F, Irarrazaval J, Galindo J, et al. Subcapsular hepatic hematoma post ERCP: a rare or an underdiagnosed complication? Endoscopy. 2012;44 Suppl 2 UCTN:E1089. DOI: 10.1055/s-0031-1291493.
6. Stapfer M, Selby RR, Stain SC, et al. Management of duodenal perforation after endoscopic retrograde cholangiopancreatography and sphincterotomy. Ann Surg. 2000 Aug;232(2):1918. DOI: 10.1097/00000658-200008000-00007.
7. Zappa MA, Aiolfi A, Antonini I, et al. Subcapsular hepatic haematoma of the right lobe following endoscopic retrograde cholangiopancreatography: Case report and literature review. World J Gastroenterol. 2016;22(17):44114415. DOI: 10.3748/wjg.v22.i17.4411.
8. Priego P, Rodríguez G, Mena A, et al. Hematoma subcapsular hepático tras CPRE [Subcapsular liver hematoma after ERCP]. Rev Esp Enferm Dig. 2007 Jan;99(1):534. Spanish. DOI: 10.4321/S1130-01082011001000011 .
9. Nari GA, Preciado Vargas J, Rosendo Ballesteros N. Una rara complicación de la CPRE: el hematoma subcapsular hepático [A rare complication of ERCP: subcapsular liver haematoma]. Cir Esp. 2009 Apr;85(4):2612. (In Spanish)]. DOI: 10.1016/j.ciresp.2008.04.002.
10. Cotton PB, Garrow DA, Gallagher J, et al. Risk factors for complications after ERCP: a multivariate analysis of 11,497 procedures over 12 years. Gastrointest Endosc. 2009 Jul;70(1):808. DOI: 10.1016/j.gie.2008.10.039.
11. Del Pozo D, Moral I, Poves E, et al. Subcapsular hepatic hematoma following ERCP: case report and review. Endoscopy. 2011;43 Suppl 2 UCTN:E1645. DOI: 10.1055/s-0030-1256267.
12. Zizzo M, Lanaia A, Barbieri I, et al. Subcapsular Hepatic Hematoma After Endoscopic Retrograde Cholangiopancreatography: A Case Report and Review of Literature. Medicine (Baltimore). 2015;94(26):e1041. DOI: 10.1097/MD.0000000000001041.
13. Klímová K, Suárez CP, Asanza CG, et al. Subcapsular Hepatic Hematoma after ERCP: A Case Report and Revision of Literature. Case Reports in Clinical Medicine, 2018;3:1616. DOI: 10.4236/crcm.2014.33039 .
14. Horn TL, Peña LR. Subcapsular hepatic hematoma after ERCP: case report and review. Gastrointest Endosc. 2004 Apr;59(4):5946. DOI: 10.1016/S0016-5107(04)00013-6.
15. Sohn TA, Yeo CJ, Cameron JL, et al. Pancreaticoduodenectomy: role of interventional radiologists in managing patients and complications. J Gastrointest Surg. 2003 Feb;7(2):20919. DOI: 10.1016/s1091-255x(02)00193-2.
16. Fuks D, Piessen G, Huet E, et al. Lifethreatening post-operative pancreatic fistula (grade C) after pancreaticoduodenectomy: incidence, prognosis, and risk factors. Am J Surg. 2009 Jun;197(6):7029. DOI: 10.1016/j.amjsurg.2008.03.004.
17. Henry AC, Smits FJ, van Lienden K, et al. Biliopancreatic and biliary leak after pancreatoduodenectomy treated by percutaneous transhepatic biliary drainage. HPB (Oxford). 2022 Apr;24(4):48997. DOI: 10.1016/j.hpb.2021.08.941.
Review
For citations:
Pogrebnyakov I.V., Abdulkarimova S.M., Zagidullina A.A., Baimashev A.Sh., Frantsev D.Yu., Virshke E.R., Dolgushin B.I. Subcapsular Hepatic Hematoma after the Endoscopic Retrograde Cholangiopancreatography: Clinical Case and Literature Review. Journal of oncology: diagnostic radiology and radiotherapy. 2023;6(4):53-61. (In Russ.) https://doi.org/10.37174/2587-7593-2023-6-4-53-61